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Home Perspectives

To be a Cassandra in Medicine

The blessing is truly a curse

Daily Remedy by Daily Remedy
January 19, 2023
in Perspectives
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To be a Cassandra in Medicine

Palmer, Henrietta L.

To have great foresight may appear to be a blessing. But if no one believes you, then that foresight quickly becomes a curse. History is riddled with such individuals, none more famous than the mythological Cassandra, the Trojan priestess fated by the Greek God Apollo to utter prophecies that would prove to be true but never believed.

Though her tale has been relegated to the annals of antiquity, her fate is shared among many today, particularly those disenfranchised in the opioid epidemic. For us, the truth is hardly much of a solace for the fate we are forced to endure. For many, it’s a literal curse.

We know the government’s fear laden approach to opioids is wrong. We know the clinical data. We see patients struggling and the lives leaving far too soon. But no one believes us. When we speak out, our words fall silent, discredited the moment they are uttered. We sense the seething stigma.

The unseeing public is trapped in a feedback loop, an echo chamber of circular logic. They think: If you truly need medication, you’ll get it. And if you don’t, then you won’t. It’s so simple, and so very wrong. Try telling the truth, and you’ll quickly be met with disbelief, if you’re lucky, and disdain, if you’re too honest.

So we suffer in silence, struggling to bear the burden of pain.

I wish to give a voice to the voiceless masses of Cassandra’s. Those patients who pray people would believe them, just for a moment, and understand their plight.

I wrote Burden of Pain for all the Cassandra’s, hoping their curse will one day be lifted and people will finally believe them.

Turn a curse into a blessing.


Excerpt:

Northwest Indiana is an all-American, blue-collar community that, like so many others throughout the country, fell victim to the opioid epidemic. You can read the statistics and study the facts, but until you’ve practiced clinical medicine in areas affected by the epidemic, you will not properly understand it. You will not know the shame of a person needing to work but unable to without pain pills, or the humiliation of having to choose between work or surgery, and often being left with only the recourse of pain pills as a viable solution.

Many of our patients were affected by the epidemic, directly and indirectly. We understood that impact on their lives. The pervasiveness of the epidemic made it a common topic of conversation. We talked openly and honestly with our patients. In doing so, we brought light to the dark, hidden difficulties in many patients’ lives.

Burden of Pain
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Daily Remedy

Dr. Jay K Joshi serves as the editor-in-chief of Daily Remedy. He is a serial entrepreneur and sought after thought-leader for matters related to healthcare innovation and medical jurisprudence. He has published articles on a variety of healthcare topics in both peer-reviewed journals and trade publications. His legal writings include amicus curiae briefs prepared for prominent federal healthcare cases.

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Videos

In this episode of the Daily Remedy Podcast, Dr. Jeffrey Singer discusses his book 'Your Body, Your Health Care,' emphasizing the importance of patient autonomy in healthcare decisions. He explores historical cases that shaped medical ethics, the contradictions in harm reduction policies, and the role of the FDA in drug approval processes. Dr. Singer critiques government regulations that infringe on individual autonomy and advocates for a healthcare system that respects patients as autonomous adults. The conversation highlights the need for a shift in how healthcare policies are formulated, focusing on individual rights and self-medication.

Chapters

00:00 Introduction to Dr. Jeffrey Singer and His Book
01:11 The Importance of Patient Autonomy
10:29 Contradictions in Harm Reduction Policies
20:48 The Role of the FDA in Drug Approval
30:21 Certificate of Need Laws and Their Impact
39:59 The Legacy of Patient Autonomy and the Hippocratic Oath
Your Body, Your Health Care: A Conversation with Dr. Jeffrey Singer
YouTube Video _IWv1EYeJYQ
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May 31, 2025
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Explore the official MAHA Report released by the White House in May 2025.

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